Joël Le Scouarnec, a 74-year-old former surgeon, has been sentenced to 20 years in prison after admitting to the rape and sexual assault of nearly 300 patients, most of them children. The case, one of the largest child sex abuse scandals in France’s history, has raised serious questions about systemic failures in protecting vulnerable patients.
French surgeon sentenced to 20 years in prison for raping and abusing hundreds of patients

Key Takeaways:
- A former French surgeon was sentenced to 20 years for sexually abusing hundreds of patients.
- Most victims were unconscious or sedated children, averaging 11 years old.
- Authorities failed to act despite his prior 2005 conviction for possessing child pornography.
- Le Scouarnec documented his crimes in notebooks discovered by investigators.
- The case has prompted calls for stronger child protection laws in France.
A Landmark Verdict
A French court has sentenced 74-year-old former surgeon Joël Le Scouarnec to the maximum 20 years in prison for the rape and sexual assault of hundreds of patients, most of whom were children. The criminal court of Morbihan, in western France, mandated that Le Scouarnec must serve at least two-thirds of his sentence before being eligible for release, due to the ongoing danger he poses to society.
However, the court declined to impose post-sentence preventive detention—a measure that could have kept him confined indefinitely. This decision has sparked outrage among victims and advocacy groups. “It’s the maximum sentence, certainly,” said Solène Podevin Favre, president of an advocacy group for child victims of incest and other sexual crimes. “But it’s the least we could have hoped for. Yet in six years, he could potentially be released. It’s staggering.”
Decades of Hidden Abuse
Le Scouarnec’s crimes, committed between 1989 and 2014, represent one of the largest child sex abuse cases in French history. Most of his victims were unconscious or sedated patients in hospitals where he worked, with an average age of just 11. Exploiting his position of trust, he abused children under the guise of medical procedures, often while they were alone in their hospital rooms.
“I didn’t see them as people,” Le Scouarnec told the court. “They were the destination of my fantasies.” His detached demeanor and apparent lack of remorse during the trial added to the victims’ anguish. While he offered apologies to some, many felt his words lacked sincerity.
Systemic Failures Exposed
The case has cast a harsh light on systemic failures within France’s healthcare and legal systems. Advocacy groups have accused authorities of inaction, noting that as early as 2005, Le Scouarnec was convicted for possessing child pornography. Despite this conviction, no measures were taken to suspend his medical license or limit his access to patients, allowing him to continue his predatory behavior unchecked for years.
“This trial, which could have served as an open-air laboratory to expose the serious failings of our institutions, seems to leave no mark on the government, the medical community, or society at large,” a group of victims stated.
The Chilling Evidence
The full extent of Le Scouarnec’s crimes came to light in 2017 when a six-year-old neighbor reported that he had exposed himself and touched her through the fence separating their properties. A search of his home uncovered a trove of over 300,000 photos, 650 video files, and detailed notebooks in which he meticulously recorded his assaults.
Not all victims were initially aware they had been abused. Many were contacted by investigators after their names appeared in Le Scouarnec’s journals. Some only realized they had been hospitalized at the time after reviewing medical records. Tragically, two of his victims took their own lives years before the trial commenced.
Calls for Reform
The magnitude of Le Scouarnec’s offenses has prompted urgent calls for stronger legal frameworks and protective measures against sexual abuse in France. Child protection groups hope the case will serve as a catalyst for dismantling long-standing taboos surrounding sexual abuse in the country.
Despite the severity of his crimes, the court did not impose post-sentence preventive detention—a measure rarely used in France that applies to the most dangerous offenders. Had it been enacted, Le Scouarnec could have been held indefinitely in a secure medical facility even after serving his sentence.
Looking Ahead
Le Scouarnec has been incarcerated since 2017 and is already serving a 15-year prison sentence from a 2020 conviction for the rape and sexual assault of four children, including two nieces. Under French law, sentences run concurrently, so he will serve the additional years after completing the first sentence. A third trial is anticipated in the coming years due to new allegations that emerged during the proceedings, including further abuse involving his granddaughter.
As France grapples with the revelations from this landmark case, victims and advocates continue to seek justice and push for reforms that will prevent such atrocities from occurring in the future.